New Visit
patient
Patient Name:
Phone number:
PD of patient:
visits:
Date of visit:
8/24/2024 10:59:00 AM
Cost:
Service:
Airlite+Ar 1.74
prescribed by doctor:
Dr.Jalakh
Notes:
SPH
CYL
AX
ADD
OD
-7.75
2
100
OS
-9
2
80
New visit Information
Date of visit:
Cost in this visit:
type of service:
prescribed by doctor
Note:
SPH
CYL
AX
ADD
OD
OS
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